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NPI 1104009182

OrganizationActive

Assured Pharmacy Las Vegas Inc

NPI 1104009182 · Community/Retail Pharmacy · Las Vegas, NV

Provider details

NPI number: 1104009182
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Eric Mutter, Chief Tech Office
License: PH02283 (NV)

Practice location

801 S Rancho Dr

Ste E3a

Las Vegas, NV 89106-3854

Phone: (949) 222-9971

Fax: (949) 271-5580

More NV providers

Mailing address

17935 Sky Park Cir

Irvine, CA 92614-6321

Registry dates

Enumerated: 2007-12-12
Last updated: 2007-12-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Assured Pharmacy Las Vegas Inc — NPI 1104009182, Las Vegas, NV | NPI Central